HomeMy WebLinkAbout0158 SALT ROCK ROAD - Health 158 Salt Rock Road
Barnstable
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No.......1.l-. ....... Ymic... .....................
THE COMMONWEALTH OF MASSACHUSETTS
BOAR® OF HEALTH
' 1r of , .1f.w. . ......... .
ApplirFatioaa -for iliqaiial Works Toto#rurtioaa Vrruift
�1l�yt Application is hereby made for a Permit to Construct ( ) or Repair ( } an Individual Sewage Disposal
System at:
-_ Location•Adds , ---•--'------------------•----------.• or Lot No.
�_ 1�►`� •---. gtAv\ -�'' � �---------------- . -- --•--•---•-•---•-----•-..._.....:.....----
y wner Address
�t"_-._....y\, ----•-•----•-------------------•--••----• -------------------------- ------•---
� Installer Address `r
Q Type of Buildin Size Lot_- .Sq. feet
Dwelling-No. of Bedrooms--------------------------------------------Expansion Attic ( ) Garbage Grinder ( )
P4 Other—Type of Building ____________________________ No. of persons---------------------------- Showers ( ) — Cafeteria ( )
Q' Other fixtures --------------- -------------
W Design Flow.......... ?0---------------------------gallons per person per day. Total daily flow___-__--.0--------.--_-_--.-..-_-_.gallons.
R. Septic Tank Liquid capacity_k600..gallons Length---------------- Width---------.---... Diameter-----.---------- Depth--- ..........
W
x Disposal Trench—No- ____________________ Width._......_.......... Total Length.................... Total leaching area._-__._.__._..._____sq. ft.
Seepage Pit No---------�------- Diameter_.._.�4�64 Depth below inletS.89i Total lea Ping area------------------sq. ft.
z Other Distribution box (✓) Dosing tank
Percolation Test Results Performed b /�_` .fa,,.r..__13� e. _�__.. Date------------------------_.-------
.__..
y.-.--
Test Pit No. 1----------------minutes per inch De th of Test Pit.................... Depth to ground water..-._--.-----.____----
G% Test Pit No. 2................minutes per inch Depth of Test Pit-------------------- Depth to ground water_-.-.._-.___._.._-__.__.
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W
7Description of Soil r -- _ ----•-
U 2 •-•••--• --•------------- - - -------------------
---------------- --�--
�
-------------------------------------------------------
UNature of Repairs or Altera ons—Answer when applicable--------------_____-----------------------------------------------------------------------------
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of Article NI of the State Sanitary Code— The undersigned further agrees not to place the system in
operation until a Certificate of Compliance ha e i board of health.
Signe
Application Approved By------ = .--•-- --a----------- •�0a• -Date ---
�:__ �a�I� Date
Application Disapproved for the following reasons----------------------------------------------------------------------------------------------------------------
i
----••-----••--•-••---------•------••---------------------------------------------------••-•---•-•-------------•.....---------------------------•• ---------------------------------------------------
_ ' Date
PermitNo......................................................... Issued--•-..-®- r----- ---•--
Date
No..... ....... Fu$.:. ................
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF4 HEALTH
flt-----_OF... .. .
.A
Appliration -for Diapuiittf Works Tamitrurtion Vrrniit
Application is hereby made for a Permit to Construct ( ) or Repair ( } an Individual Sewage Disposal
System at:
Location-Address ' or Lot No.
t. 4 Vw!k V......... 4 -iN......— �`----1=' .1 ft•-------•-- ......----
{; caner Address
W --------10 �
nstaller Address �+
U Type of Building Size Lot_..$�,_0G-pf'. feet
Dwelling—No. of Bedrooms.._.___-_.-.Z......................:.....Expansion Attic ( ) Garbage Grinder ( )
aOther—Type of Building ............................. No. of persons----------------------------- Showers ( ) — Cafeteria ( )
Otherfixtures --------------- ------------------------------------------------------------------------------------------------------------------------------•----
W Design Flow----------50____________________-•--_gallons per person per day.- Total daily flow___-----!��..........................gallons.
WSeptic Tank-L Liquid capacity-%600.-gallons Length---------------- Width..... ...... Diameter-----........... Depth----,----_-_---
x Disposal Trench—No. .................... Width..............------ Total Length_______..___-.._-__- Total leaching area------------------..sq. ft.
Other Seepage Pit Distribution box 3 Diameter....`QQU: 'Depth below inletST......... Total leaching area..---.__-._.--__-sq. ft.
O
z (✓;'`: . Dosing tank ) _ Y,
~" Percolation Test Results Performed by-------- Date---------------------------------------
a ..�._.
Test Pit No. 1................minutes,per inch D th of Test Pit.................... Depth to ground water...----.--__---.______-
(� Test Pit No. 2_________ _____minutes per inch Depth of Test Pit.................... Depth to ground water.-_-.----__-----:____. -
��.. . T
Description of Soil------•'+ --0..` Ga "� ..-- -- --- . -. ----`-----'---'` /8}y r-----
V Liu ,c s --------------------
----------------- ----- ---
W ..----.•----------.�...
V Nature of Repairs or Altera ons—Answer when applicable------------------------------------------------------------------------------------------------
-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------=--------------------------------------
Agreement:
The undersigned agrees to. install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of Article XI of the State Sanitary Code—The undersigned further agrees not to place the system in
operation until a Certificate of Compliance ha. be i e board of health.
Signe ........................................ --------------------------------
Date
Application Approved BY -••`---------- at "
Application Disapproved for the following reasons-- -
---------------------------------------------•-----
----------------------------------------------------------------
Date
PermitNo........................................................... Issued........................................................
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
�}. OF.. 4.44— .. " .............................
....
X. Trrtifirate of fIT'llmli atta
THI I TO CE jhat the Individual Sewage Disposal System constructed (/11000or Repaired ( )
by..*... -)---------t` 4-1 -------------------•---...-------- -----------------------------.-------•
�(' �,n f
,,, H-ter >~
has been install 'F*.*--------P4......&J"n-
ed in accordance with the provisions of :Article X199f The State Sanitary Code as described;in the
application for Disposal Works Construction-Permit No---_---__A//f/.................... dated__.:- If--- _
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM- WILL FUNCTION SATISFACTORY.
DATE................................................................................ Inspector....................................................................................
%+ )THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
Q.u1.Yt.............of:. ...:. . .. ,.
No._... ...fj �' 1 ,r FEE
'W .......... _. ...—...
y Dispwial Vorkii CIT,n Y_'
union Vamit
;'Permission is eby granted...c__-- 3 � ...A'- !__.-:
.............................................................................
to Con rut ( 4oT
p ( ) an IndOlt
Sewage D .pos ys
at No.. � i "'!'"------ -• ' h� �f�'�,rf1 ?!Street
as sh wn on the application for Disposal Works Construction it jl ..... .......... Dated...J_d 2-__ _.-_.?. .........
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oard of �
DATE-'!..................................
FORM 1255 HOBBS & WARREN. INC.:•PUBLISHERS
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TYPE MANUFACTURER'S UNIT ROUGH OPENING REMARKS N
A MARVIN INTEGRITY ITDH 3660 3'-O I/2"x 5'-O I/4° DOUBLEHUNG U
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4,9, , 6'-4- / 9'-B" / 4'-3Y / n 2'-8 1/2"x 5'-0 1/4" DOUBLEHUNG L'S P'?
B ITDH 3260 L7
j C ITDH 305G 2'-6 1/2"x 4'-8 1/4" DOUBLEHUNG Ll-) Z_ Crj
.D ITDH 3664 3'-0 1/2"x 5'-4 IM" DOUBLEHIING <
DN x4'-8 I/4" DOUBLEHUNG L]
E ITDH 3656 3-0 1/2 -v_
" F CUSTOM TRANSOM 3'-0"x 1'-4" OPERABLE TRAN50M Z Z �
" NOTE# :CONTRACTOR TO VERIFY ALL QUANTITIE5 AND SIZES OF NEW WINDOW5 WITH OWNER AND
ROUGH OPENING5 WITH WINDOW MANUFACTURER PRIOR TO ORDERING OF WINDOWS 'z Q
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KITCHEN AS"
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EXIT.
PANTRY COVERED =v_' °_ N�W r O• NEW
eX15T. PORCIi------ CLb: G MUDhALL \\ Fj
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6U1.-It.; `I 41' 41 "^ Y 0
EX15T.
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GENERAL NOTE5: nor:° F,qoo� I 9� I/4°+= I O
FIRST I=LOOR PLAN °"
I.)CONTRACTOR 15 TO VERIFY EXISTING CONDITIONS AND y. DATE z '-
EXIST.FIP5T FLOOR = I I GB 5.F. DIMENSIONS IN THE FIELD PRIOR TO THE START OF WORK
EXIST.SECOND FLOOR. = 532 5.F. 2.) CONTRACTOR.TO REMOVE EXISTING DOOP,S.WINDOWS. l��n c 9/
EX15T.5ECONGARAGE = 362 5.F. WALL5.4.ROOFING A5 REQUIRED FOR NEW CONSTRUCTION. -/
NEW FIP5T FLOOR, = 771 S.F. 3.) ALL NEW CONSTRUCTION TO MATCH EX15TING IN MATERIAL. 9
NEW GARAGE = 776 5.F. DETAIL AND FINISH. PROD ,NO'.4x
4.) ALL WORK SHALL CONFOP.M TO THE tv1A55ACHU5ETT5 , 'ZQ,�,,S 478 _
LEGEND STATE BUILDING CODE(LATE5T EDITION)AND ALL OTHER -
APPLICABLE LOCAL CODE5 UWGfi J NO
EXISTING WALL CONSTRUCTION TO REMAIN 5.)ANY DISCREPANCIES.ERRORS AND/OR OMISSIONS IN THE NOTE5.. c5TAM P
>` NEW WALL CONSTRUCTION DIMENSIONS,AND/OR DRAWING5 CONTAINED ON THE5E DOCUIVIENTS ,
EXISTING WALL CONSTRUCTION TO BE REMOVED SHALL BE BROUGHT TO THE ATTENTION OF THE DESIGNER PRIOR TO t'TH CON5TRUCTIONd4
NEW/EXIST.SMOKE/CARBON MONOXIDE DETECTORS CO COMMENCEMENT Of
CC CE OF THEO5E DOCUMENT5 ANN.PROCEEDING 1D ANY D15CREPANCIE5,
r', HEAT DETECTOR EP,RORS AND/OP.OMISSIONS BECOME THE P.E5PON51BILITY OF THE *- '
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BUILDING CONTRACTOR. 0 5 10 15 20 "f
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BY THOMA5 A.MOORE DE51GN CO. i
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GENERAL NOTES:
II, 1) Existing septic information compiled from Town of Barnstable Assessors As-Built Card only:
ONIN:G: RF.-1
No septic field observations were recorded. Location as shown is approximate.
Cone Bnd
OrAt Hole Front: 30' 2) All elevations are based on .an assumed datum.
Side: 15'
Rear: :15' n/f 3) Proposed garage slob elevation to match existing garage slab elevation.
Stanley P Novak
Height: 30'
a Assessors 4) Wetland Resource Areadelineated by Environmental Consulting & Restoration, Plymouth, Ma
,
Map/Lot 316/10 on November :16, 2016:
FLOOD ZONE: X Bk/Pg 24277/233
5) Leaching Pit location based on surface delineation by Oceanside Septic on November 17,
Panel:: 25001 C 0558J 2016.
Effective Date: 07/16/14 . .: .
PLAN REFERENCES:
n/f
r� Charles J & Mary 0111Cummaquid Hills Subdivisiion Plan of :Land in Barnstable, MA for Alexander Blair, Scale t"
Ellen Kunesh S - 100', February,. 1967, Barnstable Survey Consultants Inc, 608 Main St, West Yarmouth, MA"
Assessors es?o¢9. recorded in the Barnstable County Registry of Deeds in Plan Book 222, Poge.85.
MaPAOt B 844332 512 °
r ` i
35,200 .Sq Ft (plan)
O -
p 89.3' .�' - 100 l , ! David & Virginia Dorval
Et Al
Assessors
-'-
� 1 - Map/Lot- 316/43
r 2 sty,
(_/11 Bk/Pg 27507/81
w/f
.r dwelling
a° #158 w/f
FF=103.04' deck
I
crushed � ,r
stone
dwgy , ��
80.�♦
81.3 / exlsf dwc j A` ` �y
prop ✓ i t
dway 2i sty
k. w/f I
�. /garage f y�
qrL addition f ! 1 1
,F F=100.9't
- ! x.
r I aching 92.f' m. n/f
1 : pit o Kenneth R Warren
Assessors
tb.t' 1 Map/Lot 316/41
1 �l Bk/Pg 3806/61
f H684r7 �
"I certify that the locations shown Robert & Maureen P �ge8 ??0 '� 10BVW BUFFE
OFF FLACGED UNE
hereon are based on a field survey Assessors / (IE NOTE $4) TITLE: PLOT PLAN OF PROPOSED
performed between August 25, 2015 /
and November J,,7, 2016 by Gateway Map/Lot 316/14 / ADDITION AT 158 SALT ROCK ROAD,
Survey oc' a LC:" Bk/Pg 17722/206 / BARNSTABLE, MA for OWNERS OF
RECORD, CHARLES J & MARY ELLEN
Dote: . My ' KLINESH, DATED NOVEMBER 23, 2016,
�r of SCALE: 1"=20%
NORMA
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LIPSIYZ GRAPHIC SCALE GATEWAY SURVEY
No.26446
�OFE S 510� ASSOCIATES, LLC
441N�sufi 1 PO BOX 54 WAREHAM, MA 02571
►arr.vg 1 imn- 20 n 508-2914991 WWW.GATEWAYSURVEY.COM
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